report sa psychiatric nsg narcissistic

8/3/2019 Report Sa Psychiatric Nsg Narcissistic

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NARCISSISTIC PERSONALITY

DISORDER


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HALLMARKS OF NARCISSISTIC

PERSONALITY DISORDER

Self- centeredness

Self-absorption

Inability to empathize with others

Takes advantage of people to achieve

his own ends

Intense need for admiration


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IMAGE CONTROL

Tries to maintain an image of

perfection and invincibility toprevent others from

discovering his weaknesses

and imperfections.


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SUPERIOR SPECIES

Expects to be recognized as

superior.

Expects to others to comply with

his wishes automatically and

believes he should associate onlywith other special high- status

people.


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CREAM OF THE

NARCISSISTIC CROP

Achievement- oriented.

Common among politicians,

business tycoons, movie

producers, surgeons, and trial

lawyers.


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SHATTERED ILLUSIONS

Illusion of greatness may be shattered by

a threat to his ego, as from: Physical illness

Loss of a job

Loss of relationship

Feelings of emptiness and depression

despite material wealth and success.


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CAUSES

The exact cause of narcissistic

personality disorder is not known. Many mental health professionals

believe it results from extremes in

child rearing.


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SIGNS AND SYMPTOMS

Arrogance

Self- centeredness

Unreasonable expectations of favorable

treatment.

Grandiose sense of self importance.

Exaggerations of achievements and talents.

Preoccupation with fantasies of success,

power, beauty, brilliance and love.


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SIGNS AND SYMPTOMS

Manipulative behavior.

Constant desire for attention and admiration.

Lack of empathy.

Lack of concern over whom he offends.

Taking advantage of others to achieve his

own goals.

Rage, shame, humiliation in response to

criticism.


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DIAGNOSTIC CRITERIA

Grandiose sense of self- importance

Preoccupation with fantasies of

unlimited power, success, beauty,

brilliance, or ideal love.

Belief that hes special and unique and

can be undertstood only by otherspecial people.

Need for excessive admiration


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TREATMENT

There is no known cure for narcissistic

personality disorder, butpsychotherapy (a type of counseling)

might help the person learn to relate

to others in a more positive and

rewarding way.

Prevalence: more on males / appars on early adulthood


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NURSING INTERVENTIONS

Nurse must use self awareness skills to avoid the

anger and frustrations these clients behavior

and attitude can engender.

Nurse must not internalize such criticism or take

it personally.

Main goal is to gain cooperation.

The nurse may sets limit on rude or verbally

abusive behavior and explain his expectations to

client.


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Provide immediate, matter- of- fact, non-

threatening feedback for unacceptable behavior.

Client may lack knowledge about how he is beingperceived by others.

Provide immediate positive feedback for

acceptable behavior. Positive feedback

enhances self- esteem and encourage therepetition of the desired behavior.


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Ensure that goals are realistic. It is important for

client to achieve something, so plan for activities

in which the possibility for success is likely.


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1 S T R O N G L Y D I S A G R E E 2 D I S A G R E E 3 N E U T R A L 4 A G R E E 5 S T R O N G L Y A G R E E

1 I am very concerned with what others think of me.

2 I am easily bored.

3 I feel that I am attractive to the opposite sex.

4 I call or text my friends when we haven't spoken for a while.

5 People are always coming to me with their problems.

6 I am more important than most people I know.

7 I find that other people's remarks can be hurtful.

8 I don't like being alone for long.

9 People often don't appreciate me.

10 I feel that I am always sorting out people's problems for them.


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Scores between 24 and 34 are

normal (The average is 29).

If your score is 35 or more you

may be narcissistic.

If your score is 23 or less you may

be lacking in self-confidence.

report sa psychiatric nsg narcissistic

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